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慢性骨髓炎에서 發生한 扁平細胞癌에 對한 臨床的 考察

A Clinical Squamous Cell Carcinoma Arising in Chronic Osteomyelitic Foci

대한정형외과학회지 1970년 5권 4호 p.167 ~ 172
金英植, 金益東,
소속 상세정보
金英植 (  ) - 大邱東山基督病院 整形外科
金益東 (  ) - 大邱東山基督病院 整形外科

Abstract


Squamous cell carcinoma in chronic osteomyelitic foci is uncommon malignant tumor although well documented.
This article deals with clinical study of 9 cases of squamous cell carcinoma arising in chronic osteomyelitic foci during past 9 years from April 1962 to March 1969 at the Dept. Orthopedic Surgery, T aegu Presbyterian Hospital.
The diagnosis was confirmed by clinical symptoms, history, tissue and lymph node biopsy.
Brief analysis of age and sex distribution, symptoms, physical findings and clinical management were recorded and summarized as follow:
1). This tumor may occur in any age group but all reported cases were after the age of 30. 2). Only 1 outof 9 cases was female.
3). The common clinical manifestations at the time of admission were draining sinus with foul odorous discharge, fungating mass and enlargement of regional lymph node.
4). More than 80% of our series occurred in the lower extremity, tibia acouting 55. 6%.
5). 6 casses had epen fracture and duration of osteomyelitis was 28 years in average.
6). Biopsy included tissues from all portions of sinuses, a fungating mass and the tissues from the marrow
space in case of deep extension.
7). The choice of treatment consisted of early adequate amputation or radical resection of the focus and irradiation.

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